JERRY GEORGE GREESON

JBSA LACKLAND, TX
NPI1831799238
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207PS0010X Emergency Medicine, Sports Medicine
(Licence: TX  AT0646)
Enumeration Date2020-10-27
Last Update Date2020-10-27
Business Address
JERRY GEORGE GREESON Med, LAT, ATC
2239 WALKER AVE BLDG 5570
JBSA LACKLAND, TX 78236-5632
Phone number: 210-365-8316
Mailing Address
JERRY GEORGE GREESON Med, LAT, ATC
24526 DREW GAP
SAN ANTONIO, TX 78255-2284
Phone number: 210-365-8316